| Mount Carmel Medical Clinic Pllc | |
|
11230 Airline Dr Ste#1 Houston TX 77037-1116 | |
| (832) 810-9521 | |
| (855) 703-1949 |
| Full Name | Mount Carmel Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11230 Airline Dr Ste#1, Houston, Texas |
| Authorized Official Name and Position | Blessy S Jacob (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8328109521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Carmel Medical Clinic Pllc 11230 Airline Dr Ste#1 Houston TX 77037-1116 Ph: (832) 810-9521 | Mount Carmel Medical Clinic Pllc 11230 Airline Dr Ste#1 Houston TX 77037-1116 Ph: (832) 810-9521 |
| NPI Number | 1376161075 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 0446660534 |
|---|---|
| Medicare Enrollment ID | O20201030000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376161075 | NPI | - | NPPES |
| 4213043 | Medicaid | TX | |
| 3153637 | Medicaid | TX |
| Provider Name | Blessy S Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831499029 PECOS PAC ID: 7416105176 Enrollment ID: I20120921000346 |
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